Provider Demographics
NPI:1477722395
Name:BABER, KATHERINE ALAINE (DMD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ALAINE
Last Name:BABER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1630
Mailing Address - Country:US
Mailing Address - Phone:859-498-3400
Mailing Address - Fax:
Practice Address - Street 1:225 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1630
Practice Address - Country:US
Practice Address - Phone:859-498-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8469122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice